In the June episode of Critical Decisions in Emergency Medicine, Drs. Danya Khoujah and Wendy Chang discuss necrotizing fasciitis and cellulitis as well as respiratory failure in a myasthenic crisis. As always, you’ll hear about the hot topics covered in CDEM’s regular features, including spontaneous splenic rupture in infectious mononucleosis in Clinical Pediatrics, pelvic fractures with urethral injury in Critical Cases in Orthopedics and Trauma, negative pressure wound therapy application in The Critical Procedure, pulmonary embolism in The LLSA Literature Review, and chest pain and imaging for cardiac ischemia in The Critical Image.